Zarauza M J, Alonso F, Hidalgo M, Hernando J P, Oliva M J, Zueco J, Martín Durán R, Ochoteco A
Servicio de Cardiología, Hospital Universitario Valdecilla, Santander.
Rev Esp Cardiol. 1993 Nov;46(11):761-4.
A case of lipomatous hypertrophy of the interatrial septum in a patient with a history of repeated pulmonary embolism is presented. Thickening of the interatrial septum mimicking the presence of a right atrial mass was evidenced by transthoracic and transesophageal echocardiography. Lipomatous hypertrophy was suspected. The diagnostic was confirmed by echo guided (transesophageal) percutaneous transvenous biopsy. To our knowledge, there is no relationship between lipomatous hypertrophy and pulmonary embolism and in this case, it could be associated with smoking habit and oral contraceptives.
本文报告一例有反复肺栓塞病史患者的房间隔脂肪肥厚病例。经胸和经食管超声心动图显示房间隔增厚,疑似右心房肿块。怀疑为脂肪肥厚。经食管超声引导下经皮经静脉活检确诊。据我们所知,脂肪肥厚与肺栓塞之间无关联,该病例中,其可能与吸烟习惯及口服避孕药有关。